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Short-term acute care hospital · Orange City, Florida · 253 beds · CMS certification number 100072

Adventhealth Fish Memorial

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended December 31, 2025, as submitted, stamped by CMS June 22, 2026. 30 years on file, every one shown below.

Fiscal 2025 at a glance

Net patient revenue
$342.1M
$342,143,885 · G-3 line 3
Operating expenses
$292.8M
$292,839,733 · G-3 line 4
Result from patient care
$49.3M
$49,304,152 · G-3 line 5
Margin on patient care
14.4%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $30.5M in its first year on file (1996) to $342.1M in 2025.
  • Its result from patient care: $23.2M (2023), $49.3M (2024), $49.3M (2025).
  • All 5 short-term acute care hospital peers below with a margin on file also report a gain on patient care for fiscal year 2025.
  • Medicaid paid for 1.6% of its inpatient days and Medicare for 20.6%.
  • ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION holds 100% of it, on its Medicare enrollment.

Every statement is drawn from figures on this page; nothing is estimated.

30 years of filings

Net patient revenue against operating expenses, each year as filed.

Net patient revenueOperating expenses
1996
settled
$30.5M
$32.5M
1997
reopened
$40.0M
$38.3M
1998
settled
$50.0M
$47.0M
1999
reopened
$49.4M
$46.2M
2000
reopened
$65.7M
$62.3M
2001
settled
$65.5M
$62.5M
2002
reopened
$84.6M
$73.6M
2003
reopened
$92.3M
$89.1M
2004
settled
$100.3M
$96.8M
2005
reopened
$109.2M
$107.9M
2006
reopened
$113.6M
$108.3M
2007
reopened
$121.8M
$116.7M
2008
reopened
$123.6M
$120.6M
2009
reopened
$137.5M
$129.3M
2010
reopened
$141.7M
$131.8M
2011
reopened
$135.7M
$130.8M
2012
reopened
$133.4M
$130.9M
2013
reopened
$136.6M
$132.4M
2014
reopened
$154.5M
$140.5M
2015
reopened
$158.5M
$144.6M
2016
settled
$173.8M
$157.8M
2017
settled
$158.1M
$143.6M
2018
reopened
$165.3M
$151.7M
2019
settled with audit
$185.6M
$162.7M
2020
settled
$192.1M
$175.4M
2021
settled
$234.7M
$225.9M
2022
settled
$239.4M
$235.3M
2023
as submitted
$273.9M
$250.7M
2024
as submitted
$318.5M
$269.2M
2025
as submitted
$342.1M
$292.8M

Beside its peers

Short-term acute care hospitals in Florida with 200 to 399 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Adventhealth Fish Memorial253$342,143,885$292,839,73314.4%
Cleveland Clinic Hospital, Weston260$822,488,120$675,083,86417.9%
HCA Florida Capital Hospital, Tallahassee256$395,014,427$236,512,75040.1%
HCA Florida Gulf Coast Hospital, Panama City253$408,007,562$262,581,26235.6%
HCA Florida Largo Hospital, Largo252$391,604,040$388,230,3400.9%
HCA Florida Trinity Hospital, Trinity264$383,935,215$300,555,22021.7%

Patients and payers

Discharges
13,104
S-3 line 14, col 15
Inpatient days
53,517
S-3 line 14, col 8
Beds in use, on an average day
147.0
days ÷ days in year
Occupancy
58.0%
days ÷ bed days
Medicare share of days
20.6%
S-3 cols 6 ÷ 8
Medicaid share of days
1.6%
S-3 cols 7 ÷ 8

Who owns it

  • ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION100%
  • ADVENTIST HEALTH SYSTEM SUNBELT INC100%

Related organizations on its own cost report: ADV HEALTH SYS (100%), hospital mgmt; FH MEMORIAL (1%), shared svcs.

Other hospitals with the same owner: Adventhealth Porter (CO), Adventhealth Avista (CO), Adventhealth Littleton (CO), Adventhealth Parker (CO), Adventhealth Castle Rock (CO), Encompass Health Rehabilitation Hospital of Littleton (CO), Adventhealth Orlando (FL), Adventhealth New Smyrna Beach (FL), Adventhealth Deland (FL), Adventhealth Zephyrhills (FL), Adventhealth North Pinellas (FL).

Type of control on its cost report: voluntary nonprofit, church.

Owners of 5% or more, from CMS’s hospital ownership file (Medicare enrollment, October 1, 2026).

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 100072. Patients and payers: worksheet S-3 Part I of the same filing. Ownership: CMS Hospital All Owners and Hospital Enrollments.

How this page was built: the CMS Medicare cost report, file HOSP10FY2025.ZIP, read June 22, 2026.